Density and regional distribution of radiologists in a low-income country: the Ghana situation

Chinese Journal of Academic Radiology - Tập 6 Số 4 - Trang 188-195 - 2023
Benjamin Dabo Sarkodie1, Benard Ohene Botwe2, Yaw Mensah1, Edmund Tagoe3, Bashiru Babatunde Jimah4, Edmund Kwakye Brakohiapa1, Klenam Dzefi-Tettey3
1Department of Radiology, University of Ghana School Medicine and Dentistry, Accra, Ghana
2Department of Midwifery & Radiography, School of Health Sciences & Psychological Sciences, City, University of London, London, UK
3Department of Radiology, Korle-Bu Teaching Hospital, Accra, Ghana
4Department of Medical Imaging, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana

Tóm tắt

Abstract Background This study assessed the density and distribution of radiologists across all 16 regions in Ghana to generate reference information for planning and policy formulation to encourage radiology specialization and in designing systems to improve the dissemination of radiological services across all the regions in Ghana. Method A cross-sectional design was used to collect secondary data on all radiologists (n = 93) registered with the Medical and Dental Council of Ghana (MDCG) as of December 2022. This information collected on the records of the MDCG was confirmed with records from the Ghana Association of Radiologists. Population and land area data were also collected from the National Statistical Service of Ghana for each region in the country. The Stata statistical software version 15 was used to analyze the data collected. Results There were 93 radiologists in the country. The majority were male (n = 60, 65%) and about one-third of the radiologists were female. The national density of radiologists was 1.9 radiologists per 5000 km2. Only 3 of the 16 regions in the country had a better distribution of radiologists per 5000 km2. There were three radiologists per million people in Ghana with a skewed regional distribution. Seven out of the 16 regions lacked radiologists. The proportion of female radiologists stationed within the Greater Accra and Ashanti regions was 87.9% (29/33). The Bono, Eastern, Northern, and Western regions had one female radiologist each. Conclusions Actions are needed to improve the shortage and skewed distribution of radiologists. The outcome will help to improve radiological services across all the regions in Ghana.

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Tài liệu tham khảo

Knechtges PM, Carlos RC. The evolving role of radiologists within the health care system. J Am Coll Radiol. 2007;4(9):626–35. https://doi.org/10.1016/j.jacr.2007.05.014.

Choy G, Khalilzadeh O, Michalski M, et al. Current applications and future impact of machine learning in radiology. Radiology. 2018;288(2):318–28. https://doi.org/10.1148/radiol.2018171820.

Botwe BO, Akudjedu TN, Antwi WK, Rockson P, Mkoloma SS, Balogun EO, Elshami W, Bwambale J, Barare C, Mdletshe S, Yao B, Arkoh S. The integration of artificial intelligence in medical imaging practice: perspectives of African radiographers. Radiography (Lond). 2021;27(3):861–6. https://doi.org/10.1016/j.radi.2021.01.008. (Epub 2021 Feb 20 PMID: 33622574).

Iyawe EP, Idowu BM, Omoleye OJ. Radiology subspecialisation in Africa: a review of the current status. S Afr J Radiol. 2021. https://doi.org/10.4102/sajr.v25i1.2168.

Botwe B, Schandorf C, Inkoom S, Faanu A. An investigation into the infrastructure and management of computerized tomography units in Ghana. J Med Imaging Radiat Sci. 2020;51(1):165–72. https://doi.org/10.1016/j.jmir.2019.11.140. (Epub 2020 Feb 11 PMID: 32057744).

Edzie EKM, Dzefi-Tettey K, Gorleku PN, et al. Application of information and communication technology in radiological practices: a cross-sectional study among radiologists in Ghana. J Glob Health Rep. 2020. https://doi.org/10.29392/001c.13060.

Garshasb S, Hammed N, Hutchens A, Khan S. Nigeria country report. 2015.

Agongo E, Agana-Nsiire P, Enyimayew N, Adibo MK, Mensah EN. Primary Health Care Systems (PRIMASYS), Comprehensive case study from Ghana. 2017.

Dussault G, Franceschini MC. Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce. Hum Resour Health. 2006;4(1):12. https://doi.org/10.1186/1478-4491-4-12.

Lyon M, Sturgis L, Lendermon D, et al. Rural ED transfers due to lack of radiology services. Am J Emerg Med. 2015;33(11):1630–4. https://doi.org/10.1016/j.ajem.2015.07.050.

Page BA, Bernoth M, Davidson R. Factors influencing the development and implementation of advanced radiographer practice in Australia—a qualitative study using an interpretative phenomenological approach. J Med Radiat Sci. 2014;61(3):142–50. https://doi.org/10.1002/jmrs.62.

Oteng-Ababio M, Mariwah S, Kusi L. Is the underdevelopment of northern Ghana a case of environmental determinism or governance crisis? Ghana J Geogr. 2017;9(2):5–39.

Plange NK. Underdevelopment in Northern Ghana: Natural Causes or Colonial Capitalism? Rev Afr Polit Econ. 1979;(15/16):4–14. http://www.jstor.org/stable/3997987. Accessed 21 Sept 2022.

Bowman M, Gross ML. Overview of research on women in medicine--issues for public policymakers. Public Health Re (Washington, DC: 1974). 1986;101(5):513–21. https://pubmed.ncbi.nlm.nih.gov/3094083. Accessed 21 Sept 2022.

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Chinese Journal of Academic Radiology

Tập 6 Số 4

188-195

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